DR. LAUREN KENNEDY RUSSELL (NPI# 1790076198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790076198 |
| Entity Type | Individual |
| Full Name | DR. LAUREN KENNEDY RUSSELL |
| Credential | D.D.S. |
| Practice Address |
2200 Olympic St Springfield OH 45503-2858 |
| Mailing Address |
5741 Oak Creek Trl Dayton OH 45424-4089 |
| Practice Telephone | 9373900493 |
| Mailing Telephone | 9195934268 |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2020-05-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 30-023802 | OH | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
30-023802 | OH | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0071244 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 18th Medical Group, Unit 5142, Apo, AP 963685142 | 3156304744 | |
| 400 E Dayton Yellow Springs Rd, Fairborn, OH 453244064 | 9195934268 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396351813 | Lauren Nicole Russell | Physician Assistant | 10845 Town Center Blvd Ste 108, Dunkirk, MD 20754-2712 | 2020-09-21 |
| 1023633799 | Lauren H Russell | Physician Assistant | 3903 S Cobb Dr Se Ste 200, Smyrna, GA 30080-6301 | 2020-06-09 |
| 1861020927 | Lauren Elizabeth Russell | Student in an Organized Health Care Education/Training Program | 1 Baylor Plz, Houston, TX 77030-3411 | 2020-04-01 |
| 1275194177 | Lauren Ann Russell | Community Health Worker | 1100 Lincoln Ave Ste 108, Napa, CA 94558-4908 | 2019-06-22 |
| 1346800935 | Lauren Elizabeth Russell | Pharmacist | 3000 N I 35, Denton, TX 76201-5119 | 2019-06-17 |
| 1194214247 | Lauren Elizabeth Lambert Russell | Occupational Therapist | 12000 Turnmeyer Dr Se, Huntsville, AL 35803-3358 | 2018-05-04 |
| 1245584879 | Lauren Russell | Behavioral Analyst | 10175 Fortune Pkwy Unit 903, Jacksonville, FL 32256-6755 | 2012-11-05 |
| 1538439542 | Lauren C Russell | Counselor | 344 E 100 S, Salt Lake City, UT 84111-1700 | 2012-01-06 |
| 1790063824 | Lauren Russell | Case Manager/Care Coordinator | 7501 Belinder Ave, Prairie Village, KS 66208-3659 | 2011-07-22 |
| 1992091763 | Lauren K Russell | Physical Therapist | 14405 Laurel Pl, Suite 102, Laurel, MD 20707-6102 | 2011-06-21 |
| Street Address |
2200 OLYMPIC ST |
| City | SPRINGFIELD |
| State | OH |
| Zip Code | 45503-2858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881120582 | Haley Willis | Dentist | 2200 Olympic St, Springfield, OH 45503-2858 | 2017-05-02 |
| 1295023166 | Andrea M Myers | Dentist | 2200 Olympic St, Springfield, OH 45503-2858 | 2011-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093182727 | Future Plan LLC Dba Home Instead Senior Care | In Home Supportive Care | 333 Mt Vernon Ave, Springfield, OH 45503 | 2015-08-28 |
| 1740665280 | Paulette Thomas | Occupational Therapy Assistant | 722 Patrick Road, Springfield, OH 45503 | 2015-07-27 |
| 1912391400 | Nanditha Alamelu Ranganathan | Student in an Organized Health Care Education/Training Program | 2655 Ballydoyle Dr., Springfield, OH 45503 | 2015-03-24 |
| 1598102568 | Careplus Home Healthcare | Registered Nurse | 802 N. Limestone St, Spfld, OH 45503 | 2013-05-30 |
| 1407120033 | Janice Louise Foster | Home Health Aide | 3131 Erter Drive, Springfield, OH 45503 | 2012-02-29 |
| 1306123112 | David P. Comer | Physician Assistant | 2600 N Limestone St Fl 2, Springfield, OH 45503 | 2011-11-08 |
| 1689953564 | Family Dental Care | Dentist | 1240 E. Main St, Springfield, OH 45503 | 2011-08-10 |
| 1942539317 | Latonia Marie Montgomery | Licensed Vocational Nurse | 2350 North Limestone #10, Springfield, OH 45503 | 2009-12-15 |
| 1518139385 | Springfield Eye Group LLC | Optometrist | 1674 North Limestone St, Springfield, OH 45503 | 2008-04-01 |
| 1457543951 | Kara Nicole Miller | Physician Assistant | 2600 N. Limestone, 2nd Floor, Springfield, OH 45503 | 2007-08-17 |
| Find all providers in zip 45503 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205434628 | Helina Mesfun | Dentist | 6512 Greenview Ln, Springfield, VA 22152-2918 | 2020-10-16 |
| 1336754456 | Springfield Dental Partners LLC | Dentist | 498 Harlow Rd Ste 2, Springfield, OR 97477-1339 | 2020-09-15 |
| 1699392308 | Mahmood Mahmood | Dentist | 6811 Meteor Pl Apt 204, Springfield, VA 22150-4518 | 2020-06-29 |
| 1124514807 | Myranda Nycole Wolff | Dentist | 2740 Prairie Crossing Dr, Springfield, IL 62711-7156 | 2018-07-06 |
| 1861987547 | Hovhannes Pahlevanyan | Dentist | 1795 Main St Ste 212, Springfield, MA 01103-1015 | 2018-06-26 |
| 1205329737 | Camille Renee Tague | Dentist | 2305 S Blackman Rd Ste 100, Springfield, MO 65809-2845 | 2018-06-09 |
| 1134611932 | George William Vincel | Dentist | 3259 E Sunshine St Ste Q, Springfield, MO 65804-2143 | 2018-06-06 |
| 1235636531 | Duff Family Dental, LLC | Dentist | 1722 S Glenstone Ave Ste O, Springfield, MO 65804-1513 | 2018-04-12 |
| 1598263345 | Santarelli & Feller Dental Group | Dentist | 1140 Rickard Road, Suite B, Springfield, IL 62704 | 2018-01-26 |
| 1265948699 | Brighter Dental Care (springfield) | Dentist | 901 Mountain Avenue, Suite Sc-13, Springfield, NJ 07081 | 2017-12-21 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 45503 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.